扭转性肝回肠吻合术——胆管损伤修复的一种罕见并发症

Torsed hepaticoileostomy-an unusual complication of Bile Duct injury repair.

作者信息

Wallace David R, Ballard David H, Vea Romulo, Zibari Gazi B, Shokouh-Amiri Hosein M, D'Agostino Horacio B

机构信息

Department of Radiology, Louisiana State University Health Shreveport, 1501 Kings Highway, Shreveport, Louisiana, 71130.

School of Medicine, Louisiana State University Health Shreveport, 1501 Kings Highway, Shreveport, Louisiana, 71130.

出版信息

Clin Imaging. 2015 Jul-Aug;39(4):692-4. doi: 10.1016/j.clinimag.2014.12.012. Epub 2014 Dec 20.

DOI:10.1016/j.clinimag.2014.12.012

PMID:25676260

Abstract

We present a 42-year-old male with strictured bilioenteric anastomosis after bile duct injury repair. The patient improved after percutaneous biliary drainage and balloon dilation of the stricture. Persistent bile reflux around the catheter insertion site prompted a cholangiogram that suggested an error in the enteric limb. Surgical exploration revealed that a torsed ileal loop was used for bilioenteric anastomosis. This error was repaired surgically. The patient had immediate and long-term resolution of symptoms.

摘要

我们报告一例42岁男性患者，其在胆管损伤修复后出现胆肠吻合口狭窄。经皮胆道引流及对狭窄部位进行球囊扩张后，患者病情有所改善。导管插入部位周围持续存在胆汁反流，促使进行了胆管造影，结果提示肠袢存在错误。手术探查发现用于胆肠吻合的是一段扭转的回肠袢。该错误通过手术得以修复。患者的症状立即得到缓解且长期未再复发。